摘要
目的 研究床旁超声联合集束化营养护理策略在危重症患者中的应用效果。方法 选取2022年1月至2023年12月期间于我院ICU进行治疗的危重症患者80例,随机分为试验组与常规组,各40例,予常规组盲插鼻空肠管及常规营养护理,予试验组床旁超声联合集束化营养护理,比较护理效果。结果 试验组患者的置管时间、置管成功率、血清白蛋白、前蛋白及不良反应发生率等指标水平表现明显优于常规组,数据有统计学意义(P<0.05)。结论 给予危重症患者床旁超声联合集束化营养护理,效果显著,不仅能显著缩短置管时间与提升置管成功率,还能明显改善患者的营养水平,值得推广。
关键词: 床旁超声;集束化营养护理;危重症;营养水平
Abstract
Objective To investigate the application effect of bedside ultrasound combined with bundle nutrition nursing strategy in critically ill patients. Methods 80 critically ill patients who received treatment in our ICU from January 2022 to December 2023 were randomly divided into an experimental group and a control group, with 40 patients in each group. The control group received blind insertion of nasogastric tubes and routine nutritional care, while the experimental group received bedside ultrasound combined with bundled nutritional care. The nursing effects were compared. Results The levels of indicators such as catheterization time, catheterization success rate, serum albumin, pre protein, and incidence of adverse reactions in the experimental group were significantly better than those in the conventional group, and the data were statistically significant (P<0.05). Conclusion The combination of bedside ultrasound and bundle nutrition nursing for critically ill patients has significant effects. It can not only significantly shorten the catheterization time and improve the success rate of catheterization, but also significantly improve the nutritional level of patients. It is worth promoting.
Key words: Bedside ultrasound; Bundled nutritional care; Critical illness; Nutritional level
参考文献 References
[1] 唐荣繁,刘芳. 床旁超声联合集束化营养护理策略在危重症患者中的应用[J]. 基层医学论坛,2023,27(15):1-3,35.
[2] 杨昆. 床旁超声联合集束化营养护理策略在危重症患者中的应用研究[J]. 科技与健康,2024,3(5):25-28.
[3] 韩丰彩. 基于安全管理模式的急诊危重院内转运流程对急诊不良事件发生的影响[J].首都食品与医药,2019,26(17):2332-2334.
[4] 杨茂琼,岳荣川,罗艳芳,等. 床旁即时超声测量动脉峰流速呼吸变异度评价危重症患者容量反应性的临床价值[J]. 临床和实验医学杂志,2024,23(6):644-648.
[5] 时雨,柏玲,邬媛,等. 床旁超声在危重症患者消化系统中的应用与研究现状[J]. 护士进修杂志,2022,37(17):1577-1581.
[6] 马雪,谢琴. 集束干预策略在神经危重症患者肠内营养中的应用[J]. 中西医结合心血管病电子杂志,2019,7(34): 124-125.
[7] 张平. 集束化护理策略在ICU肠内营养患者中的应用效果评价[J]. 基层医学论坛,2022,26(3):51-53.
[8] 李博文. 集束干预策略在神经危重症患者肠内营养中的应用[J]. 中国保健营养,2019,29(31):262-263.